Provider and patient satisfaction with the integration of ambulatory and hospital EHR systems

Abstract

Dissatisfaction of providers with an EHR system and difficulties incorporating EHR technology into patient care may negatively impact patient satisfaction. Care must be taken during EHR implementations to maintain good communication with patients while satisfying documentation requirements.

Exploring association between certified EHRs adoption and patient experience in U.S. psychiatric hospitals

“…According to the HCAHPS survey, highly scored satisfaction with care transition means that patients could understand better about their care when leaving hospitals, such as clearly understanding the purpose for taking each of their medications and their own responsibilities for managing their health. The implementation of certified EHR could lead to improvements in care information availability for patients and/or their families, [19,42] which may be beneficial and helpful for patients to better manage their care. Certified EHR may also help mental health providers take patients' preferences (and those of their families or caregivers) into account in deciding what patients' health care needs would be when patients were discharged [25].…”

“…These results were consistent with previous works that there was no relationship between EHR adoption and patient perceptions about patient-doctor communication. [30,46,47] Some prior relevant work even found that patient-doctor communication may be negatively impacted by EHR adoption, possibly due to less experience and comfort of mental health practitioners incorporating EHR technology into patient care, [25,31,48] as well as distraction to patients and reduction in eye-contact. [32] Those neutral or negative results remind that interpersonal care should be a focus to reduce the unexpected adverse effects of certified EHR adoption in psychiatric hospitals [49] as communication skills and psychodynamic interpretations are arguably more highlighted in psychiatric hospitals than in non-psychiatric settings.…”

“…Some studies suggested that EHR use could significantly improve patient experience [23][24][25] whereas other showed insignificant [26][27][28][29][30] or even inverse associations. [31,32] Additionally, most literature on the relationship between patient experience and EHR adoption were conducted in non-psychiatric settings. [9,[22][23][24][25][26][27][28]30] Due to the confidentiality and sensitive nature in psychiatric records, and the special reliance on information for psychiatric diagnosis and treatment, the findings of previous works in non-psychiatric hospitals may not apply equally to psychiatric hospitals.…”

Using affinity analysis in diagnosing the needs of patients as regards e-Health

“…Dissatisfaction of service providers with the EMD application system and difficulties with implementation of EMD technology in caring for patients can adversely affect a patient's attitude. Thus, during the EMD implementation process we should remember to maintain good communication with patients and to comply with the requirements related to documentation [34].…”

A resolution for the new year: Responding to a call to organize against burnout crisis

“…Furthermore, when compared with other providers and office staff, physicians were unilaterally dissatisfied with the EHR, suggesting that much of the burden after implementation fell upon their shoulders. 6 In a recent editorial in the New York Times, Abraham Verghese, Professor for the Theory and Practice of Medicine at Stanford University Medical School, described the patient in America today, as ''just the icon, a place holder for the real patient who is not in the bed but in the computer. That virtual entity gets all our attention…The living, breathing source of the data and images we juggle, meanwhile, is in the bed and left wondering: Where is everyone?…”